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Cosmetic Eyelid Surgery

  • Overview
  • Facts
  • Photos
  • FAQ

Because you deserve to age beautifully

Eyes are the first features on the face to show signs of aging.

As we age, the skin around our eyes loses its elasticity. Loose folds of skin develop on the upper eyelids . At the same time, the muscles in this area may also slacken so that any fat bulges forward and the eyelids look baggy. Over time, the eyelids and/or the eyebrows may also become droopy. These changes give a tired appearance which distracts from the overall attractiveness of the face. Besides being cosmetically unattractive, they may also affect eye function, when severe. This includes discomfort from the weight of excess eyelid skin on the lashes, impaired visual field from the overhang of upper eyelid skin, or difficulty in wearing glasses because of lower eyelid bulges and tearing problems.

It includes the following procedures to improve the cosmetic appearance of the face:

  • Surgery for correction of baggy eyelids and overhanging folds of upper eyelid skin  ( BLEPHAROPLASTY)
  • Botulinum Toxin (BOTOX) injections for crow’s feet & forehead wrinkles and Blepharospasm, the involuntary, repeated spasms/closure of the eyes
  • Fillers to improve deep folds, hollows and depressions around eyes, specially the tear trough deformity
  • Chemical peeling for rejuvenation of skin

"Reconstructive surgery is an attempt to restore the individual to normal;
Aesthetic surgery attempts to surpass the normal."

- Dr. Harrold Gilles, the Father of Modern Plastic

Eyes are the first facial features to show signs of aging. These changes include development of excess loose skin of the eyelids (dermatochalasis), herniation of orbital fat (bags under the eyes or baggy eyelids), drooping of the upper (ptosis) or lower eyelids(ectropion) besides crow's feet and wrinkling.

As people are becoming increasingly conscious for their cosmetic appearance, more and more facial rejuvenation procedures are being done. It is thus not surprising that blepharoplasty is the second most common aesthetic procedure being done in the west (after breast surgery).

Blepharoplasty refers to eyelid surgery designed to remove excess fat along with skin & muscle, from the upper and lower eyelids. A properly performed blepharoplasty will brighten the face and restore a more youthful appearance.

As the skin tightens by blepharoplasty , many wrinkles go away. Some fine ones may not. Fine wrinkling and crow's feet are corrected by chemical peel / laser or Botulinum Toxin. Deeper folds and lines are removed and contouring of face done by using Dermal fillers.

Botox has revolutionised the treatment of wrinkles . It is the most popular option amongst all cosmetic procedures in the US ! The trend has already caught on in the big metros in India in a big way . The treatment consists of tiny injections with a very fine needle. It takes just a few minutes after which you can go back to work straightway.

The eyelid area can be rejuvenated by these nonsurgical and surgical procedures to make you look younger and better.

These procedures are performed by 'oculoplastic surgeons', ophthalmologists who specialize in performing reconstructive and cosmetic surgeries of the region of eye.

Why have cosmetic eyelid surgery?

Cosmetic eyelid surgery , called. Blepharoplasty, also called as an 'eyelift 'is an operation designed to remove the excess fat along with skin and muscle from the upper and lower eyelids. This procedure will brighten the face and restore a more alert and youthful appearance . In some patients , it will also improve vision by removing the excess skin of the upper lid which hangs down and obstructs vision from above.

Hence the benefits of eyebag surgery are the following ;

  • Removes excess skin and fat of the eyelids that causes them to give a tired/aged appearance.
  • Reduces the bulging of the lower eyelids to give a more youthful look.
  • Improves the shape of the eyes.

What does cosmetic surgery include ?

  • Upper eyelid blepharoplasty
  • Lower eyelid blepharoplasty
  • Browlift
  • BOTOX (botulinum toxin ) injections for removal of wrinkles around the eyes
  • Dermal filler injections to restore youthful appearance
  • Chemical peels and resurfacing of skin around the eyes

Who is an Oculoplastic Surgeon ?

Oculoplastic Surgeons ars ophthalmologists ( eye doctors ) who have specialized in eyelid and facial surgery . After obtaining their postgraduate degree in ophthalmology, they have acquired further training, skill and expertise to perform many different types of eyelid and facial surgery, ranging from simple eyelid malpositions to more complex reconstruction involving the eyelids and surrounding forehead and cheek areas.

Why oculoplastic surgeons and not plastic surgeons ?

Oculoplastic surgeons are trained ophthalmic surgeons with advanced training in treating disorders of the eye, eyelids, lacrimal system, and orbit. They thoroughly understand the delicate anatomy and function of the eyelids and their surrounding structures. They are working only around the eye throughout their career. They understand how eyelid surgery can affect the comfort of the eye and the clarity of vision. A general plastic surgeon on the other hand, works on all parts of the body. During a general plastic surgery residency, training time must be divided between all the parts of the body and only weeks (rather than years) can be devoted to the eyelids.


What is Blepharoplasty?
Under-eye bags and sagging upper eyelids that come with age can be corrected through cosmetic eyelid surgery, known as blepharoplasty. This relatively minor cosmetic correction can refresh the appearance of the face and leave it looking years younger.

How is it done?
Blepharoplasty is usually done under local anaesthesia after the surgeon has conducted a thorough examination of your eyes.

The surgeon makes incisions in the natural creases of the upper lid and removes excess fat and skin. The incisions are closed with fine stitches and the scar is often completely unnoticeable.

Lower lid surgery for removal of excess fat can be performed either by making incision on the skin ( transcutaneous approach ) or on the inner side of the lower eyelid (transconjunctival approach) leaving no visible scar.

What are the complications?

Cosmetic eye surgery is a commonly performed and generally safe surgical procedure. For most people, the benefits in terms of improved appearance are greater than any disadvantages. However, in order to make a well-informed decision and give your consent, you need to be aware of the possible side-effects and the risk of complications.

Side-effects are the unwanted but mostly temporary effects of a successful procedure. Swelling and bruising is common after surgery and normally heals within a few days.

Complications are unexpected problems that can occur during or after the procedure. Most people are not affected. The main possible complications of any operation are bleeding during or soon after the procedure, infection, or an unexpected reaction to the anaesthetic.



What is Botox?
Botox (Botulinum Toxin) is a purified preparation of botulinum toxin Type A, obtained from the bacterium Clostridium botulinum.

Botox causes a temporary paralysis of the treated facial muscles and this allows the facial ( dynamic) lines to soften over a few weeks to months. The onset of action is 3 to 5 days after injection and the paralysis usually lasts for approximately 4 to 6 months. That is why Botox is known as a 'wrinkle eraser"'

It has both therapeutic and aesthetic uses.

Its aesthetic uses include:

  • Treatment of dynamic facial lines; e.g., frown lines and laughter lines (crows feet) for facial rejuvenation.
  • Correct asymmetry of the face
  • Reshape facial features without surgery

Botox treatment is a clinic procedure using fine needle injections into the muscles of the face. There is hardly any pain. In sensitive individuals however, topical local anaesthetic cream can be applied 30 min before treatment to reduces the pain of the injections. Cooling with ice packs also reduces the discomfort.

Side effects are uncommon. A mild burning sensation may be experienced with the injection and a tingling sensation may be felt for up to 2 -3 days after. Minimal bruising may occur as a result of the injection which disappears on its own.



What is Filler?
A filler is an inert synthetic substance such as Hyaluronic Acid which is injected into the depressions or tear troughs below the eyes and the lines between the nose and the mouth(nasolabial folds).

Fillers can be temporary, semi-permanent or permanent,depending on what material is injected. Dr. Poonam Jain uses crosslinked hyaluronic acid, Restylane which is temporary. Its effect lasts for 6 to 9 months. However repeated injections are known to stimulate production of collagen with the effect lasting longer.